This study will be conducted to determine the effect of addition of ankle mobility versus hip mobility exercises to traditional rehabilitation to patients with chronic ankle instability. the main purpose is to answer the following question: * out of these interventions which would better improve lower limb flexibility, range of motion, severity of functional instability and dynamic postural control? Researcher will compare between ankle mobility versus hip mobility exercises Participants will be allocated in 2 experimental groups: * group A will include 20 patients receiving conventional physiotherapy in addition to ankle mobility exercises * group B will include 20 patients receiving conventional physiotherapy in addition to hip mobility exercises Patients will receive 3 sessions per week for 6 weeks in a physiotherapy outpatient facility for both groups
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
* Ankle muscles strengthening exercises * balance training
9 ankle mobility exercises including: ankle pumps, ankle circles, forward lunges, plantarflexion stretch, calf stretch, squat with overhead reach, heel drops on step, ankle flexion with band and scoops
8 hip mobility exercises including: 90/90 hip stretch, frog stretch, world's greatest stretch, banded hamstring stretch, backward lunges, butterfly, pigeon stretch and banded hip stretch.
lower limb flexibility
measure the lower trunk and lower extremity flexibility with modified sit and reach test, sideways split and single legged knee bend test
Time frame: 6 weeks
Range of motion
Hip flexion and extension range of motion Ankle dorsiflexion and plantarflexion range of motion
Time frame: 6 weeks
severity of chronic ankle instability
using the Arabic version of the Cumberland Ankle Instability Tool, a tool used to describe the severity of chronic ankle instability, with the highest possible score is: 30 and the lowest possible score is: 0 Higher scores indicate better ankle stability, while lower scores indicate higher severity of functional instability
Time frame: 6 weeks
Dynamic postural control
using the modified star excursion balance test
Time frame: 6 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.